Female Birth Registration: Year: 1921 number: 61100692
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Registered No. 61100692
PROVINCE OF NOVA SCOTIA
CERTIFICATE OF REGISTRATION OF BIRTH
1. PLACE OF BIRTH
County of Pictou
City, Town or Village Thorburn
2. FULL NAME OF CHILD Shepard, Doris Arleen
3. Sex of child
Female
4. Twin, triplet or other?
5. Was the child born alive?
Yes
6. Legitimate?
Yes
7. Date of Birth
December 9, 1921
FATHER
8. Full Name John Shepard
9. Residence Thorburn
10. Racial Origin Negro | 11. Age at last birthday 27
12. Birthplace New Glasgow
13. Occupation: —
(a) Trade or profession miner
(b) Business in which employed "
MOTHER
14. Full Maiden Name Elizabeth Palmer
15. Residence Thorburn
16. Racial Origin Negro | 17. Age at last birthday 26
18. Birthplace Truro NS
19. Number of children of this mother (including this child)
Living 2 Dead 1 Stillborn
20. Occupation, if other than household duties
21. Name and Post Office address of Informant T B Day Thorburn
22. Name of Doctor, nurse or other person in attendance at birth T B Day MD
I certify the foregoing to be true and correct to the best of my knowledge and belief.
Given under my hand this 02 01 22
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=406828
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